SMITH FAMILY DENTISTRY PA (NPI# 1528329307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528329307 |
| Entity Type | Organization |
| Organization Name | SMITH FAMILY DENTISTRY PA |
| Practice Address |
11910 Greenville Ave Suite 110 Dallas TX 75243-3596 |
| Practice Telephone | 2145036776 |
| Mailing Telephone | 2145036776 |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |
| Authorized Official Name | DR. CARMEN PRINCELE SMITH (PRESIDENT) |
| Authorized Official Telephone | 2145036776 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 18888 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 009505105 | 05 |
| Street Address |
11910 GREENVILLE AVE SUITE 110 |
| City | DALLAS |
| State | TX |
| Zip Code | 75243-3596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427053040 | Hedley Rakusin | Dentist | 11910 Greenville Ave, Ste 110, Dallas, TX 75243-3564 | 2005-06-20 |
| 1629523642 | Ashley Smith | Dentist | 11910 Greenville Ave, Suite 110, Dallas, TX 75243-3596 | 2016-08-19 |
| 1659612752 | Shana Fakkel | Physician Assistant | 11910 Greenville Ave, Suite 500, Dallas, TX 75243-3596 | 2013-03-14 |
| 1306180096 | Benjamin Scott Scarbro | Nurse Anesthetist, Certified Registered | 11910 Greenville Ave, Suite 650, Dallas, TX 75243-3596 | 2012-11-19 |
| 1477808897 | Katherine M. Floyd | Nurse Anesthetist, Certified Registered | 11910 Greenville Ave, Suite 650, Dallas, TX 75243-3596 | 2012-07-23 |
| 1770872657 | Florence Nwagwu | Anesthesiology | 11910 Greenville Ave, Suite 650, Dallas, TX 75243-3596 | 2011-03-31 |
| 1003121112 | Ambreen Feroz Ali Nadeem | Physician Assistant | 11910 Greenville Ave, 500, Dallas, TX 75243-3596 | 2010-08-12 |
| 1285967174 | Kathryn Branch | Nurse Practitioner | 11910 Greenville Ave, Suite 500, Dallas, TX 75243-3596 | 2009-09-10 |
| 1235307307 | Charles Gravely | Physician Assistant | 11910 Greenville Ave, Suite 500, Dallas, TX 75243-3596 | 2008-02-12 |
| 1902084395 | Guillermo Guardiola Jr. | Nurse Anesthetist, Certified Registered | 11910 Greenville Ave, Suite 650, Dallas, TX 75243 | 2008-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970830 | Nnamdi Okorie | Licensed Vocational Nurse | [email protected], 13427 Hedgeapple Dr, Dallas, TX 75243 | 2020-07-23 |
| 1629627716 | Mohammad Mehdi Imani Emadi | Dentist | 11970 N Central Expy # 430, Dallas, TX 75243 | 2019-09-10 |
| 1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
| 1033609292 | Mother Earth Healthcare Services Inc | Home Health | 9821 Summerwood Cir Apt 1701, Dallas, TX 75243 | 2018-05-14 |
| 1346742822 | Chioma Ifeji | Licensed Vocational Nurse | 13317 Daystrom Court, Dallas, TX 75243 | 2018-03-01 |
| 1598282865 | Kimberly Ann Whitney | Social Worker | 11520 N Central Expy Ste 254, Dallas, TX 75243 | 2017-08-27 |
| 1962934083 | Dignity Private Care, LLC | In Home Supportive Care | 8330 Lbj Freeway, Ste 720, Dallas, TX 75243 | 2017-03-29 |
| 1699214569 | Vitalis Home Health LLC | Home Health | 9821 Summerwood Cir Apt 1308, Dallas, TX 75243 | 2017-02-13 |
| 1881130946 | Proniles | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Dr, Dallas, TX 75243 | 2017-01-13 |
| 1194273664 | Osman W Awdallah | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Drive, Dallas, TX 75243 | 2016-09-14 |
| Find all providers in zip 75243 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938296 | Cameron Togrye | Dentist | 5215 Belmont Ave Apt 7308, Dallas, TX 75206-7598 | 2020-10-02 |
| 1376155762 | Thy Hong Nguyen | Dentist | 17721 Dallas Pkwy Ste 106, Dallas, TX 75287-7338 | 2020-08-18 |
| 1043820590 | Ronald Mauricio Velasquez | Dentist | 611 N Bishop Ave Ste 102, Dallas, TX 75208-4361 | 2020-08-08 |
| 1629688767 | Corbin Reed Alhadef | Dentist | 8226 Douglas Ave Ste 753, Dallas, TX 75225-5929 | 2020-08-04 |
| 1942819883 | Gabrielle Kubas | Dentist | 775 Peavy Rd, Dallas, TX 75218-2175 | 2020-07-27 |
| 1134738156 | Erin Medina | Dentist | 7510 E Grand Ave Apt 1304, Dallas, TX 75214-4163 | 2020-07-26 |
| 1841816790 | Faisal Abdul Rehman | Dentist | 14041 Preston Rd Apt 1506e, Dallas, TX 75254-3491 | 2020-06-16 |
| 1790307726 | Seyedeh Delaram Abaei | Dentist | 8610 Greenville Ave Ste 150, Dallas, TX 75243-7159 | 2020-05-13 |
| 1396377594 | Fresca Dental Pllc | Dentist | 10121 Lake June Rd Ste 118, Dallas, TX 75217-5345 | 2020-02-06 |
| 1104456276 | Eduardo Guzman-almaguer | Dentist | 4228 N Central Expy Ste 120, Dallas, TX 75206-6548 | 2020-01-17 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.